Smrcka, John J

Smrcka, John J is an sole proprietor health care provider with primary practice located at 6081 S Quebec St Suite 103, Englewood CO 80111-4536. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smrcka, John J can be contacted via phone (303) 694-0524.

Contact Information

Primary practice address
6081 S Quebec St Suite 103 Englewood CO 80111-4536
Fax: (303) 694-3290
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 2163 Colorado

Profile Details

NPI number 1427179316
LBN Legal business name Smrcka, John J
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Nov 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427179316 NPPES
Colorado MEDICAID 41501063

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